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Altered glucose metabolism during pregnancy what should

Case Study: Altered Glucose Metabolism during Pregnancy

Susan is a 26-year-old G1P0 at 6 weeks of gestation with type 2 diabetes. Her BMI is 32. Her hemoglobin A1C is 9. She uses glyburide 10 mg PO daily. The physician has switched her to insulin at this time.

Question 1- What is the nursing priority at this time?

Question 2- What should Susan be taught about insulin needs during pregnancy?

Question 3- What additional risk factor does Susan have?

Question 4- How should Susan be counseled regarding weight gain in pregnancy?

Question 5- What advice can be given to Susan regarding exercise?

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